Active NPI
Mary Beth Major, NP-C
- Nurse Practitioner
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 6523
- Practice address
- 3427 1St Ave S
Minneapolis, MN 55408-4506 - Phone
- (612) 805-2320
- NPI assigned
- Apr 2, 2019
- Last updated
- Mar 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 6523 | MN | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 6523 | MN |
Addresses
Primary practice location
3427 1St Ave S
Minneapolis, MN 55408-4506
Mailing address
3427 1St Ave S
Minneapolis, MN 55408-4506
Phone (612) 805-2320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3580 Linden Ave
Suite A1
White Bear Lake, MN 55110-4625
Phone (763) 326-2996
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.25 of 100
- Quality
- 60.43
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 79.28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6523 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespark Medical Group, PA | Gerontology | Current | Accepting new patients |
| Illumia Health LLC | Current | Accepting new patients |
Locations
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
5320 W 23rd St
Ste 130
St Louis Park, MN 55416
Phone (952) 345-3213
3580 Linden Ave
Ste A1
White Bear Lk, MN 55110
Phone (651) 633-6522
655 Brawley School Rd
Ste 200
Mooresville, NC 28117
Interoperability endpoints
- mary.beth.major.1@15699.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- White Bear Lake, MN
- NPI 1972316289
-
dba Lifesprk Health
- Geriatric Medicine (Family Medicine) Physician
- St Louis Park, MN
- NPI 1427551746
Gerontology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1821550591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3427 1ST AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554084506",
"telephone_number": "612-805-2320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3427 1ST AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554084506",
"telephone_number": "612-805-2320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAJOR",
"first_name": "MARY",
"middle_name": "BETH",
"name_prefix": "Ms.",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-02",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "6523",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MN",
"license": "6523",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.